Obesity

Question 1

What BMI is overweight and obese?

Answer 1

25 or above = overweight
30 or above is obese

Question 2

What is a healthy BMI?

Answer 2

Anything 18.5-24.9

Question 3

What is the dosing of Orlistat OTC AND POM?

Answer 3

OTC: 60mg
POM: 120mg TDS before meals- 30% of dietary fat not absorbed

Question 4

What are the conditions for taking Orlistat?

Answer 4

For pts with BMI over 30 and caloric reduction or with pts with BMI over 28 with other risk factors
Given for free to pts who have lost 2.5kg from dieting month prior
Orlistat should be stopped after 12 weeks if patient hasn’t lost atleast 5% of body weight

Question 5

What are the side effects of Orlistat?

Answer 5

Due to fat not being absorbed its released into the faeces, so significant effect on GI, steatorrhea, wind and faecal incontinence
Aversion therapy, the more food eaten the more side effects

Question 6

What are the interactions of Orlistat?

Answer 6

The absorption of the contraceptive pill and ciclosporin may be reduced